Ukuba uphila ne-HIV, kubaluleke kakhulu ukuba nokuqonda okucacileyo ngamayeza aqukiweyo kunyango lwakho. Kuba la mayeza ngawo alawula intsholongwane emzimbeni wakho kwaye akunceda uphile ubomi obusempilweni. Namhlanje siza kuthetha nge-Efavirenz, iyeza elibalulekileyo elinikwa abantu abaninzi. Liyaziwa kakhulu ligama elithi Sustiva.
Luhlobo luni lweyeza i-Efavirenz?
Ngamafutshane, i-Efavirenz liyeza le-antiretroviral elisetyenziselwa ukulwa ne-HIV.
Kodwa apha kufuneka ukhumbule into ebaluleke kakhulu. Eli yeza alilonyango olupheleleyo lwe-HIV. Oko kukuthi, aliyisusi ngokupheleleyo intsholongwane emzimbeni. Nangona kunjalo, eli yeza lilawula ukwanda (ukusasazeka) kwentsholongwane ye-HIV emzimbeni. Oku kunika inkqubo yakho yomzimba yokuzikhusela isiqabu esikhulu.
Kwakhona, xa isetyenziswa ngokuchanekileyo, eli yeza linokunciphisa umngcipheko wokudlulisela intsholongwane kaGawulayo komnye umntu. Kodwa aliyisusi ngokupheleleyo ingozi. Ke ngoko, kubalulekile ukuqhubeka nokulandela iindlela ezikhuselekileyo.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Ngaphambi kokuba ugqirha wakho akunike eli yeza, kufuneka akunike umfanekiso opheleleyo wempilo yakho. Oku kubaluleke kakhulu kukhuseleko lwakho. Qiniseka ukuba ubaxelela ngezi zinto ngokukodwa:
- Ukuba unesifo sentliziyo okanye ukuba kukho umntu kusapho lwakho okhe wanayo.
- Ukuba ukhe wasebenzisa iziyobisi okanye utywala ngaphambili.
- Ukuba ukhe waba noxinzelelo okanye ezinye iingxaki zempilo yengqondo .
- Ukuba unesifo sesibindi (umz. i-hepatitis).
- Ukuba unesifo sokuxhuzula esifana nesifo sokuxhuzula .
- Ukuba okwangoku usebenzisa naliphi na elinye iyeza (lesinye isifo, iintlungu zentlungu, iivithamini, amayeza e-Ayurvedic).
- Ukuba ukhe waba ne -allergy kwi-efavirenz okanye nakweyiphi na enye iyeza okanye ukutya.
- Ukuba ukhulelwe okanye unethemba lokukhulelwa .
- Ukuba ungumama oncancisayo .
Musa ukuyifihla le ngcaciso kugqirha wakho. Ulwazi olunika lona luya kumisela unyango olufanelekileyo nolukhuselekileyo kuwe.
Ndingayisebenzisa njani kanye kanye le yeza?
Ukuze ufumane okuninzi kweli yeza, kubalulekile ukulisebenzisa njengoko kuchazwe ngugqirha.
- Ixesha lokulisebenzisa: Eli yeza lidla ngokuthathwa ebusuku ngaphambi kokuba ulale.Kucetyiswa ukuba uyithathe kuba awuyi kuva isiyezi esinokubakho xa ulele.
- Indlela yokuyithatha: Le iza ngohlobo lwekhaphu. Ungayiginya yonke ngamanzi. Ukuba unengxaki yokuginya, ungayivula ngononophelo ikhaphu uze udibanise umgubo ongaphakathi kunye neetispuni ezimbalwa zokutya, ezifana neyogathi, ijeli, okanye isosi yeapile. Ukuba uyinika umntwana omncinci, ungayixuba nobisi oluncinci.
- Inqaku elibalulekileyo: Ukuba uyixuba nokutya okunje, kufuneka uyithathe kwimizuzu engama-30 . Kwakhona, ungatyi enye into kangangeeyure ezi-2 emva kokuba usele iyeza ngale ndlela.
- Ungaze utsibe idosi: Le yeyona nto ibalulekileyo. Ukuba utsibe idosi, unika intsholongwane ithuba lokuba yomelele kwaye ikwazi ukumelana neyeza. Ukuba wenza njalo, iyeza lisenokuyeka ukusebenza kamva. Musa ukuyeka ukulisebenzisa ngaphandle kwengcebiso kagqirha wakho, nokuba uzive ungcono.
Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, ungoyiki. Tsalela umnxeba iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Kuthekani ukuba ndilibele ukuthatha iyeza?
Thatha idosi oyiphosileyo ngokukhawuleza nje ukuba ukhumbule. Nangona kunjalo, ukuba sele kusondele ixesha ledosi yakho elandelayo (umz., kusele iiyure ezimbalwa kuphela), yeka idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini.
Amanye amayeza anokusebenzisana ne-Efavirenz
I-Efavirenz liyeza elinokusetyenziswana namanye amayeza, ngoko ke kubalulekile ukwazisa ugqirha wakho malunga nawo onke amayeza owasebenzisayo.
| Ungaze uwasebenzise la mayeza kunye ne-Efavirenz. | |
|---|---|
| I-Disopyramide | I-Elbasvir; i-grazoprevir |
| I-Rifapentine | I-Voriconazole |
| Qiniseka ukuba uxelela ugqirha wakho ukuba usebenzisa la mayeza. | |
| Amayeza esifo sentliziyo | Umzekelo: i-Amiodarone |
| Amanye amayeza e-malaria | Umzekelo: iArtemether; i-lumefantrine |
| Ii-antibiotics | Umzekelo: iClarithromycin, iRifampin, iRifabutin |
| Iihomoni zabasetyhini kunye neepilisi/iindlela zokulawula ukuzalwa | Umzekelo: ii-Estrogens, iiProgestins |
| Amayeza oxinzelelo lwegazi oluphezulu | Umzekelo: Diltiazem, Nifedipine, Verapamil |
| Amayeza okuthintela i-cholesterol | Umzekelo: iSimvastatin |
| Amayeza okugula ngengqondo | Iimeko ezinje ngokudakumba nokuxhalaba |
| I-Antifungal | Umzekelo: I-Ketoconazole, i-Itraconazole |
| Amayeza okuxhuzula | Umzekelo: iCarbamazepine, iPhenobarbital, iPhenytoin |
| Amanye amayeza e-HIV, afana neMethadone kunye neWarfarin | Xelela ugqirha wakho ngazo zonke amayeza owasebenzisayo. |
Izinto ekufuneka uzilumkele xa usebenzisa eli yeza
- Ukuhlolwa rhoqo kwezonyango: Bona ugqirha wakho ngexesha elifanelekileyo. Kubalulekile ukwenza izinto ezifana nokuhlolwa kwegazi.
- Iimpendulo ezinzulu zesikhumba: Iimpendulo ezinzulu zesikhumba zinokwenzeka kwiiveki okanye kwiinyanga ezimbalwa emva kokuba uqalise eli yeza. Xelela ugqirha wakho ngoko nangoko ukuba unesiqhushumbisi kunye neempawu ezinje ngomkhuhlane okanye ukubanda . Ezi qhushumbisi zinokuba bomvu okanye zibe mfusa, emva koko zibe namadyungudyungu kwaye ulusu lunokuqhekeka. Kwakhona, bona ugqirha ngoko nangoko ukuba unesiqhushumbisi kunye nokudumba kobuso, imilebe, okanye iqhubu entanyeni okanye emakhwapheni.
- Ukozela kunye nesiyezi: Eli yeza linokukwenza uzive ulele kwaye unesiyezi. Ngoko ke, musa ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba eli yeza likuchaphazela njani. Lumka xa uvuka okanye uhlala phantsi ngokukhawuleza, ingakumbi ukuba uluphele. Ukusela utywala kunokunyusa ezi ziphumo ebezingalindelekanga.
- Ulawulo lokuzala: Oku kubaluleke kakhulu. Ngelixa usela i-Efavirenz, iipilisi zakho zokulawula ukuzala zisenokungasebenzi kakuhle . Ngoko ke, ukuba ufuna ukuphepha ukuba nabantwana, qiniseka ukuba usebenzisa enye indlela yokuthintela ukuzala, njengekhondom. Thetha nogqirha wakho ngale nto ukuze ufumane ulwazi oluthe kratya.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengalo naliphi na iyeza, i-Efavirenz inokubangela iziphumo ebezingalindelekanga. Ezinye zinzima, ngelixa ezinye zixhaphakile.
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha ngoko nangoko | |
|---|---|
| Ukunganyamezelani kolusu | Ukurhawuzelelwa lusu, ukurhawuzelelwa, ukudumba, izilonda emlonyeni, ukudumba kobuso okanye imilebe. |
| Utshintsho lwengqondo | Ukudandatheka okukhulu, iingcinga ezingaqhelekanga, iingcinga zokuzibulala, umsindo omkhulu. |
| Iimpawu zomonakalo wesibindi | Umchamo otyheli/omdaka omnyama, ukutyheli kwamehlo okanye ulusu, iintlungu kwinxalenye ephezulu ngasekunene yesisu, ukudinwa kakhulu, isicaphucaphu, ukungabi namdla wokutya. |
| Ezinye iimpawu ezinzulu | Ukubona okanye ukuva izinto ezingekhoyo (imibono), ukungakwazi ukushukuma okanye ukuthetha ngokuqhelekileyo. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ukuphazamiseka kwesisu, urhudo, ukuhlanza | Ubunzima bokulala, amaphupha angaqhelekanga |
| Ukudinwa, ubunzima bokugxila | Ukuqokelelwa kwamafutha esinqeni nasemqolo (ukwanda kobunzima) okanye ukuncitshiswa kobuso, iingalo, nemilenze. |
Umyalezo Wokuya Ekhaya
- I-Efavirenz liyeza elilawula intsholongwane kaGawulayo, kodwa ayiloyeza eliphilisa ngokupheleleyo esi sifo.
- Musa ukulibazisa amayeza amiselweyo nangasiphi na isizathu. Musa ukuyeka ukuwasela amayeza ngaphandle kwengcebiso kagqirha wakho.
- Xelela ugqirha wakho ngazo zonke ezinye iziyobisi (kuquka ne-Ayurvedic) ozisebenzisayo.
- Funa uncedo lwezonyango ngokukhawuleza ukuba unesifo solusu esibi kakhulu, utshintsho kwisimo sengqondo, okanye iimpawu zesifo sesibindi.
- Ekubeni ukusebenza kweepilisi zokulawula ukuzalwa kunokuncipha ngelixa usebenzisa la mayeza, kubalulekile ukusebenzisa enye indlela yokukhusela, njengekhondom.
- Ukuba unemibuzo okanye iinkxalabo malunga nale mithi, thetha nogqirha wakho ngayo ngokukhululekileyo.
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